Ethnicity-specific BMI cutoffs for obesity based on type 2 diabetes risk in England: a population-based cohort study
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BACKGROUND: ). METHODS: and complete ethnicity data, were registered with a general practitioner practice in England at any point between Sept 1, 1990, and Dec 1, 2018, and had at least 1 year of follow-up data. Patients with type 2 diabetes were identified by use of a CALIBER phenotyping algorithm. Self-reported ethnicity was collapsed into five main categories. Age-adjusted and sex-adjusted negative binomial regression models, with fractional polynomials for BMI, were fitted with incident type 2 diabetes and ethnicity data. FINDINGS: (26·5-27·0) in Arab populations. INTERPRETATION: Revisions of ethnicity-specific BMI cutoffs are needed to ensure that minority ethnic populations are provided with appropriate clinical surveillance to optimise the prevention, early diagnosis, and timely management of type 2 diabetes. FUNDING: National Institute for Health Research.
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The BMI cutoff of age- and sex-adjusted incidence for type 2 diabetes equivalent to the cutoff of 25 kg/m2 in the White population is as low as 19.2 kg/m2 in South Asians.
“The BMI cutoff of age- and sex-adjusted incidence for type 2 diabetes that is equivalent to the cutoff of 25 kg/m2 in the White population is as low as 19.2 kg/m2 in South Asians [39].”
From Advantages and Limitations of the Body Mass Index (BMI) to Assess Adult Obesity (2024) · cites this paper as [39]
The Methods (Statistical analysis; page unavailable) say the study identified age- and sex-adjusted BMI cutoffs risk-equivalent to 25.0 kg/m² in White populations. The Discussion (page unavailable) says the corresponding overweight cutoffs were lower in South Asian populations, but the passages in our copy do not give the claimed value of 19.2 kg/m²; the reported 23.9 kg/m² figure instead uses a White reference BMI of 30.0 kg/m². (LLM, conf=0.82)
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- Authors
- Caleyachetty, R., Barber, T. M., Mohammed, N. I., Cappuccio, F. P., Hardy, R., Mathur, R., Banerjee, A., & Gill, P.
- Affiliations
- University Hospital Coventry (GB)
- Corresponding author
- Caleyachetty, Rishi
- ORCID
- Venue
- The Lancet Diabetes & Endocrinology
- Publisher
- Elsevier BV
- Published
- 2021-07
- Volume
- 9
- Issue
- 7
- Pages
- 419-426
- ISSN
- 2213-8587 (ISSN-L)
- PMC
- PMC8208895
- OpenAlex
- W3162704165
- Cited by
- 429
- References
- 30
- Citations by year
- 2026: 87 · 2025: 100 · 2024: 82 · 2023: 81 · 2022: 61 · 2021: 18
- FWCI
- 45.46
- Type
- journal article
- Language
- en
- Update notices
- erratum (2021-07-01)
- Open access
- hybrid
- doi.org
- Licence
- Locations
- The Lancet Diabetes & Endocrinology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Warwick Research Archive Portal (University of Warwick) (acceptedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- South Asian Health Foundation
- National Institute for Health Research (PB-PG-1217\u201320038, 20038, PB-PG-1217)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- type 2 diabetes, obesity, body mass index, ethnic minorities, Arabs, diabetes risk, diabetes prevention, clinical surveillance
- MeSH terms
- Adult, Diabetes Mellitus, Type 2, England, Ethnicity, Female, Follow-Up Studies, Humans, Male, Middle Aged, Obesity, Population Surveillance, Risk Factors, Cohort Studies, Body Mass Index, Electronic Health Records
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